African-American parents' and daughters' beliefs about HPV infection and the HPV vaccine.
Kayoll V Galbraith-Gyan, Julia Lechuga, Coretta M Jenerette and 3 others
PMID 30548324WHAT IT FOUND
African-American parents and daughters often saw HPV risk as low unless daughters were sexually active.
They wanted vaccine protection against warts and cancer but feared side effects, safety, needles, and mistrusted mandates; mothers usually decided vaccination.
Key findings
01Parents and daughters often did not perceive daughters as susceptible to HPV, tying risk to whether daughters were sexually active.
02Barriers to vaccination included fear of side effects, lack of knowledge, safety concerns, vaccine newness, needle pain in daughters, and mistrust of mandates or political promotion in parents.
03Parents reported provider recommendations, information, and wanting to protect daughters as reasons to vaccinate, while many daughters said mothers made the decision with little input from them.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used a purposive sample of African-American parents and daughters in two locations, so the findings may not apply to other families. Parents were mostly female, so fathers' or guardians' views may be missing. Most daughters had not initiated HPV vaccination, so experiences of vaccinated daughters may be underrepresented. Few daughters reported sexual activity, so beliefs about risk may not apply to sexually active daughters. The study reports beliefs and interview themes, not whether any counseling strategy changes vaccination decisions or uptake. The authors' suggestions for nurses are recommendations from the Discussion, not tested interventions.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not read the suggested nurse counseling strategies as evidence that they increase HPV vaccination. The study describes parents' and daughters' beliefs; it did not test any intervention.